Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.99 / $504.99 / $504.99	Facility		$504.99	$504.99	$504.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.99 / $638.16 / $1,155.14	Professional		$504.99	$638.16	$1,155.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.23 / $1,036.33 / $1,374.17	Facility		$809.23	$1,036.33	$1,374.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,203.27	Professional		$756.53	$756.53	$1,203.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.41 / $1,264.24 / $1,800.16	Professional		$1,255.41	$1,264.24	$1,800.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,341.96 / $1,374.17 / $1,374.17	Professional		$1,341.96	$1,374.17	$1,374.17
United Facility/Professional Professional Modifier Low / Median / High Price $619.61 / $789.74 / $1,374.17	Professional		$619.61	$789.74	$1,374.17